ANTIBIOTIC PROPHYLAXIS PRACTICES IN CAESAREAN SECTION: COMPLIANCE WITH GUIDELINES

Abstract

This review summarises what the published literature says about antibiotic prophylaxis practice in caesarean section and how closely it follows guidelines, and it reports no new data. It sets out the evidence behind current recommendations on drug choice, timing before skin incision, weight-based dosing and duration, then describes how compliance is audited and which deviations are reported most often. Common barriers include timing habits, uncertainty over penicillin allergy and obesity dosing. Multifaceted interventions, including checklists, pharmacist input and feedback, can improve adherence, although most evidence comes from before-and-after designs. Audit definitions vary so widely that compliance figures are hard to compare, and links between adherence and infection outcomes remain weakly documented.